HomeMy WebLinkAboutH2024-0287 - PermitsCity of Newport Beach
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Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
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III I I I II I I II II II I II I II II Mechanical: Permit:
H2O24-0287
Plan 82
Work Class : Other
Permit Status: Issued
— - 1 Issued Date : 05/21/2024
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 7138 RESIDENCIA
Description: MECH R/R DUCTWORK (XR2024-5001)
Owner: NEWPORT BLUFFS LLC
Address : PO BOX 2450 NEWPORT BEACH, CA 92658
Phone: (714)720-2521
Legal Desc : N TR 15584 BLK LOT 8
Applicant: FEDRA HEATING AND AIR CONDITIONING
Address: 20829 ANZA AVENUE #329 TORRANCE, CA 90503
Phone: (310)951-9720
Owner/Builder :
Address
Phone :
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone: PC - Bonita Canyon
PROCESSED BY:
SPECIAL CONDITIONS:
Fire Hazard Zone
Contractor : FEDRA HEATING AND AIR CONDITIONING
Address :
20829 ANZA AVENUE #329 TORRANCE, CA 90503
Phone :
(310) 951-9720
Con State Lie
: 968565
Lie Expire :
12/31/2025
Bus Lie:
BT30082752
Bus Lie Expire:10/31/2024
Workers' Compensation
Insurance
Carrier:
CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy No:
CWC01385501
W. C. Expire:
1/13/2025
NO Manufacturer
Model# :
OWNER -BUILDER DECLARATION
I hereby affimi under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5.. Business and Professions Code: Any city or county that requires a permit to construct, after, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Iicensura and the basis for the alleged exemption. Any violation of Section 7031'..5 by any applicant fore. permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property,or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' Or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from Bcensure under the Contractors' State License Law for the following reason:.
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall
sell a structure that I have built as an owner -builder if it has not been constructed In its entirety by licensed Contractors- I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application Is submitted or at the following Web site:htlp:ilwww:leginfo.ca.govicalaw.htmf..
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f ivisi 3 of the Business and Profes ns Code, and license is in full force
and effect. License Class License. No Date 'Contractor Signature
iNORKERS' COMPENSATION DECLARATION
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
?!,:aance of the workfor which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
ranee carrier and policy number are:
of Agent
certify that, in the performance of the
, if I should become sgbiect to the we
Policy Number
Date
this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
ation provisions of Section 3700 of The Labor Code, I shall forthwith comply with those provisions.
nature of Applicant ........... Date INS t / , Z
CLARATION REGARDING CONSTRU TtON LE7____
ereby affirm under penalty of perjury tha {here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Idlers Name Lenders Address
my signature below. I cartify to each of the following:
1 am the property owner or authorized to act on the property owner's behalf,
I have read this app,<cation and the information I have provided is correct..
I agree to comply tech all applicable city and county ordinances and slate laws relating to building construction.
, dut, wrize repru.,eclat ves of this city or county f9 enter the aboy6-identified property for inspection purposes.
of Proo�rty O,er er or Authorized
I DATE I By
PERMIFEXWREU
PFRMITC„NCELLEO
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C'PTIFICATE OF
GCCUPANCYISSULG
DECLARATIDN OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE, 40 AND ARMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
I_.IA$6tSTOS NOT IFICAfTON IS NOT APPLICABLE TO
PROPOSED DEMOUTION
FOR OFFICE USE ONLY
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